Dr. Amanda Lawler veterinary cardiologist Hudson Highlands Hopewell Junction NY
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Our Cardiology Team

Dr. Amanda Lawler, Residency-Trained Cardiologist

Dr. Amanda Lawler veterinary cardiologist Hudson Highlands Hopewell Junction NY
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Dr. Jonathan Goodwin, DVM, MS, DACVIM (Cardiology)

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Cardiac Conditions We Treat

Veterinary cardiology is the branch of medicine focused on diagnosing and managing diseases of the heart and cardiovascular system in animals. Just like in people, pets can develop a wide range of heart conditions, some they’re born with, and some that develop over time. A veterinary cardiologist has advanced training specifically in how the heart functions, what can go wrong, and how to manage those problems in a way that protects your pet’s quality of life for as long as possible.

Heart Murmurs in Dogs & Cats

A heart murmur is an abnormal sound caused by turbulent blood flow within the heart. Murmurs are graded on a scale from I to VI based on their intensity, but grade alone doesn’t tell the full story, some low-grade murmurs are clinically insignificant, while others indicate underlying structural disease that needs to be monitored or treated.

An echocardiogram (cardiac ultrasound) is the most reliable way to determine what’s causing a murmur and how significant it is. Dr. Lawler and Dr. Goodwin evaluate murmurs in both dogs and cats, determine whether intervention is warranted, and establish a monitoring plan appropriate for your pet’s specific situation.

Congestive Heart Failure

Congestive heart failure (CHF) occurs when the heart is no longer able to pump blood effectively, causing fluid to accumulate in the lungs or abdomen. Signs can include coughing, labored breathing, reduced exercise tolerance, and a distended belly. CHF is a serious condition, but with proper management, many pets live comfortably for months to years after diagnosis. Treatment typically involves medications to reduce fluid buildup and support heart function, along with dietary modifications and regular monitoring.

Dilated Cardiomyopathy (DCM)

Dilated cardiomyopathy (DCM) is a condition in which the heart muscle weakens and the chambers of the heart enlarge, reducing the heart’s ability to pump blood efficiently. It is seen most commonly in large and giant breed dogs, including Doberman Pinschers, Great Danes, Irish Wolfhounds, and Boxers, though it can occur in other breeds as well.

DCM can progress silently before outward signs appear, making echocardiographic screening important for high-risk breeds. When identified early, medical management can help slow progression and delay the onset of heart failure symptoms.

Mitral Valve Disease

Mitral valve disease (MVD) is the most common acquired heart disease in dogs, and it is particularly prevalent in small breeds such as Cavalier King Charles Spaniels, Dachshunds, and Poodles. The mitral valve, which separates the left atrium and left ventricle, gradually degenerates and begins to leak — a condition called mitral valve regurgitation.

MVD progresses slowly in many dogs and may not require treatment for years. However, as the disease advances, it can lead to congestive heart failure. Research has shown that certain medications, started at the right stage, can delay the onset of heart failure in dogs with MVD.

Arrhythmias & Rhythm Disorders

Arrhythmias are abnormalities in the electrical activity of the heart that cause it to beat too fast, too slow, or irregularly. Some arrhythmias are benign and require no treatment, while others can cause fainting, weakness, or collapse.

Common arrhythmias seen in dogs and cats include atrial fibrillation, ventricular tachycardia, sick sinus syndrome, and atrioventricular (AV) block. Diagnosis relies on electrocardiography (ECG) and sometimes Holter monitoring, which records the heart’s rhythm over 24 hours to capture intermittent abnormalities.

Congenital Heart Defects

Congenital heart defects are structural abnormalities that are present from birth. Some breeds are more prone to specific congenital defects than others. In many cases, these conditions are identified early in life during a routine exam. In others, they may not cause noticeable symptoms until the pet is older.

Common congenital conditions include pulmonic stenosis, subaortic stenosis, and patent ductus arteriosus (PDA). Depending on the severity, some congenital defects can be managed medically, while others may be candidates for interventional procedures.

Cardiac Diagnostics & Procedures

Accurate diagnosis is the foundation of good cardiac care. We use a combination of advanced imaging and monitoring tools to assess your pet’s heart function, identify the nature and severity of any condition, and guide treatment decisions.
Veterinary echocardiogram cardiac ultrasound dog Hudson Highlands Vet Hopewell Junction
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Echocardiography (Cardiac Ultrasound)

An echocardiogram is an ultrasound of the heart that allows the cardiologist to visualize the heart’s structure and function in real time. It provides detailed information about the size of the heart chambers, the thickness of the heart walls, how well the valves are opening and closing, and how effectively the heart is pumping blood.

Echocardiography is non-invasive, requires no sedation in most patients, and is considered the gold standard for diagnosing and staging most cardiac conditions in dogs and cats. It is essential for evaluating murmurs, monitoring disease progression, and guiding treatment timing.

State-of-the-art cardiac diagnostic equipment Hudson Highlands Veterinary Medical Group
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Electrocardiography (ECG/EKG)

An electrocardiogram (ECG or EKG) records the electrical activity of the heart and is the primary tool for diagnosing arrhythmias. It can identify abnormal rhythms, conduction disturbances, and other electrical irregularities that may not be apparent on physical examination alone.

ECGs are fast, non-invasive, and can be performed without sedation in most cooperative patients. They are often used alongside echocardiography for a complete cardiac evaluation.

Holter Monitoring

A Holter monitor is a wearable device that continuously records your pet’s heart rhythm over a 24-hour period. It is particularly useful for detecting intermittent arrhythmias that may not be present during a brief in-clinic ECG. Holter monitoring is commonly used in breeds at high risk for arrhythmias — such as Doberman Pinschers and Boxers — and in pets with unexplained episodes of weakness, collapse, or fainting.

The monitor is placed on your pet in the clinic and worn at home during normal daily activity. The recorded data is then analyzed by Dr. Lawler or Dr. Goodwin to identify any rhythm abnormalities and determine whether treatment is needed.

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Frequently Asked Questions About Pet Heart Disease

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